Readmission to a surgical intensive care unit: incidence, outcome and risk factors

Abstract

Introduction We investigated the incidence of, outcome from and possible risk factors for readmission to the surgical intensive care unit (ICU) at

Failure to reduce C-reactive protein levels more than 25% in the last 24 hours before intensive care unit discharge predicts higher in-hospital mortality: A cohort study

“…Another interesting finding of the present study is that CRP reduction less than 25% was a good marker of risk of ICU readmission. Static values of CRP have been described as markers for readmission in surgical patients [26] and in a case-control study [27,28], but as far as we are aware, predischarge CRP variation was not used for this purpose. Intensive care unit readmission is a major factor independently associated with in-hospital mortality and also with burden costs and increased hospital LOS [28].…”

Patients’ Characteristics Associated With Readmission to a Surgical Intensive Care Unit

“…The association between readmission and patients' characteristics such as age, sex, and underlying disease during the first admission has been studied. [6][7][8][9][10][11][12][13][14][15] However, the association between different surgical conditions and ICU readmission has yet to be addressed. Moreover, the outcomes of patients readmitted to a surgical ICU have not been well described.…”

The impact of critical care transition programs on outcomes after intensive care unit (ICU) discharge: can we get there from here?

“…This process of recognition has much value; however, without a specific plan for the prevention of clinical worsening of vulnerable patients, it may constitute an insufficient strategy to improve relevant patient outcomes. Moreover, the risk of ICU readmission for patients discharged from ICU is heterogeneous (2,4). The specific risk factors require specific prevention strategies, such as early removal of invasive devices to prevent nosocomial infections in patients who needed invasive monitoring or treatment (23); early pulmonary rehabilitation to avoid respiratory failure in patients with chronic respiratory diseases (24) and implementation of specific rehabilitation programs focused on recovery of functional abilities for patients with ICU-acquired muscular weakness with the aim of avoiding clinical worsening related to poor functional status (25).…”

“…Despite recovery from critical illnesses that lead to ICU admission, patients discharged from ICU remain at risk for successive clinical worsening during the hospital stay, which may result in readmission to ICU or even death (1)(2)(3). Moreover, ICU readmission is associated with poorer outcomes, such as lower ICU and hospital survival rates, prolonged hospitalisation, higher costs related to patient care, higher degrees of disability after ICU discharge and more emotional stress to patients and their families (1,2,4-6).…”